# ATLANTIC HOME HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003976705
- **Authorized official:** KRISTI JACKSON (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (941) 257-4285

## Contact information

- **Practice address:** 1280 S 20TH AVE STE A, SAFFORD, AZ 85546-3378
- **Practice address phone:** (928) 792-4354
- **Mailing address:** 885 PENNIMAN AVE UNIT 6426, PLYMOUTH, MI 48170-7722
- **Mailing address phone:** (888) 891-0786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA4225 | AZ | Yes |
| 302R00000X | Health Maintenance Organization | L13170568 | AZ | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 12/12/2022